SAMIR SAHAY SAXENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

SAMIR

Middle

SAHAY

Last Name

SAXENA

Suffix

Business Name

SAMIR SAHAY SAXENA MD

Original Issue Date

10/20/2000

Effective Date

10/20/2000

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011